Organization Active NPI

US Home Health Care Inc

  • Home Health Agency
  • Hurst, TX
National Provider Identifier
1689615031
Registry record updated Jan 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
009618 Issued in TX
Legal business name
US HOME HEALTH CARE INC
Practice address
117 W Bedford Euless Rd
Hurst, TX 76053-4006
Phone
(817) 268-0041
Fax
(817) 285-8847
NPI assigned
Jun 9, 2006
Last updated
Jan 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Ikechukwu Andrew Udeme, RN, MBANPI 1013287515
Title
Don Assist. Admin.
Phone
(817) 268-0041

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 009618 TX Primary

Addresses

Primary practice location

117 W Bedford Euless Rd
Hurst, TX 76053-4006

Mailing address

117 W Beford Euless Rd
Hurst, TX 76053-4006
Phone (817) 268-0041

Other identifiers 1

IdentifierTypeStateIssuer
2857021MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050112000100 TX Part A Provider - Home Health Agency 0143278564 Practice locations: Hurst, TX
O20090625000138 TX Part B Supplier - Independent Clinical Laboratory 0143278564 Practice locations: Hurst, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689615031. Details of each certification follow.

Home health agency certification: CCN 679473

Legal name
US HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 4, 2004
Last certification
Feb 13, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Aug 7, 2003 in TX
Enrollment address
117 W Bedford Euless Rd
Hurst, TX 76053-4006

Care Compare: Home health agency

Medicare Care Compare
Listed as
US Home Health Care IncCCN 679473 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
May 4, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1040267US Home Health Care Inc117 W Bedford Euless Road, Hurst, TX 76053Certificate of waiverMay 4, 2027

National Provider Directory

National Provider Directory

Locations

117 W Bedford Euless Rd
Hurst, TX 76053
Phone (817) 268-0041

1244 Southridge Ct
Ste 102
Hurst, TX 76053
Phone (817) 589-7575

1245 Southridge Ct
Ste 203
Hurst, TX 76053
Phone (817) 589-7575

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Ikechukwu Andrew Udeme Individual Corporate Director Jan 12, 2005
W-2 Managing EmployeeDon Jan 12, 2005
Abigail Udeme Individual 5% Or Greater Direct Ownership Interest Dec 1, 2004
Corporate Director Jan 12, 2005

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421884800000",
    "number": "1689615031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 W BEFORD EULESS RD",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760534006",
            "telephone_number": "817-268-0041",
            "fax_number": "817-285-8847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 W BEDFORD EULESS RD",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760534006",
            "telephone_number": "817-268-0041",
            "fax_number": "817-285-8847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "US HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2015-01-22",
        "status": "A",
        "authorized_official_last_name": "UDEME",
        "authorized_official_first_name": "IKECHUKWU",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "DON ASSIST. ADMIN.",
        "authorized_official_telephone_number": "817-268-0041",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN, MBA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "009618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2857021",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurst, TX

Sources for this page

Verify at the official NPI Registry.